Enabling Sustainable Change

Lexa Murphy and other 麻豆影院 faculty hope to eventually work themselves out of their jobs fighting HIV and AIDS in Kenya.

It鈥檚 impossible to avoid superlatives when talking about the HIV and AIDS prevention work being done in Kenya by a team of faculty and staff from the Department of Psychology, the Master of Public Health program, and the College of Communication. More than 300,000 youths reached and 2500 teachers trained. Nearly 400,000 miles traveled in more than 20 trips over seven years. The first and still the only, non-clinically-oriented partnership funded through the U.S. President鈥檚 Emergency Plan for AIDS Relief (PEPFAR) working with Kenyan youth in HIV and AIDS prevention.

Lexa Murphy

The project was born in 2004 when Gary Harper (professor of Psychology and director of the Master of Public Health program) and Lexa Murphy (associate professor, College of Communication) went on a University-sponsored faculty and staff trip to Kenya.

鈥淥ur intent was to see what kind of relationships 麻豆影院 could create in Nairobi and the surrounding areas,鈥 recalls Murphy. 鈥淎t that time, Gary already had years of experience in HIV and AIDS prevention behavior work, so we were able to propose a partnership in which we would bring technical and capacity building skills, and our peers in Kenya would contribute local and cultural knowledge. We would work together to address complex problems.鈥

The 麻豆影院 team paired with the Kenya Episcopal Conference-Catholic Secretariat to develop a comprehensive, faith-based abstinence and behavior change program targeting youth ages 11 to 14. The program is extra-curricular and the teachers volunteer to participate.

鈥淓veryone wants this information,鈥 says Murphy.

Breaking The Silence

鈥淲orking with our peers in Kenya, we鈥檝e created the program, piloted it, gathered feedback, modified the program, and are now evaluating it by using pre-and post-program tests to assess changes in knowledge, attitude, and future behavior-related intentions,鈥 says Leah C. Neubauer, program manager, with 麻豆影院鈥檚 Master of Public Health program. 鈥淲e鈥檙e working with teachers to establish a script, a language to 鈥榯alk鈥 about HIV/AIDS鈥攖hey are dedicated to addressing and fighting this disease.鈥

鈥淲e hope to play a role in breaking the silence around issues of HIV and AIDS,鈥 says Harper. 鈥淲e don鈥檛 see ourselves as coming in and 鈥榮aving鈥 these communities, but instead, we鈥檙e helping to find their areas of strength and then working side-by-side to build their capacity to lower the rates of HIV infection.鈥

听 The program includes a complementary radio component that reinforces the content of the school program. The team helps create broadcasts鈥攁udio documentaries and radio theater with youth-friendly messages鈥攑layed on Radio Waumini, the Catholic radio station.

鈥淲hen I interview parents after they鈥檝e participated in the program, I feel like I鈥檓 seeing a true cultural change.鈥

Lexa Murphy, associate professor, 麻豆影院

The Momentum Of Success

In 2008, Andrew Riplinger joined the team to coordinate the team members鈥 activities and act as a liaison between all the parties.听

鈥淲e help design and deliver training, capacity building, and technical assistance to national teams of teachers and administrators, who have so far expanded the program out into 24 dioceses and more than 15,000 schools,鈥 he says.听

In fact, the program has been so successful that last year, the team piloted a five-week parent-child communication program called 鈥淔amilies Matter!鈥澨

鈥淭alk of sex is taboo in many parts of Kenyan society, and parents couldn鈥檛 talk with their children about what they were learning in the school program,鈥 says Murphy. 鈥淲hen I interview parents after they鈥檝e participated in the 鈥楩amilies Matter!鈥 program, I feel like I鈥檓 seeing a true cultural change. Parents say how much the program has changed their dynamics with their kids and their partners. They even talk about other topics more easily now.鈥澨

Teresa Mastin, associate professor in the 麻豆影院 College of Communication, joined the team this year to start a new relationship with the University of Nairobi鈥檚 Centre for HIV Prevention and Research.

鈥淲e鈥檙e aiming to strengthen a community of sex workers so they can get funding, be chosen as a test group for an anti-HIV microbicide being developed elsewhere in Africa, or receive the skills training they need to leave the sex trade. By encouraging mass media to advocate for these women, we are improving their chances of success.鈥

Creating Sustainable Change

In all the Kenyan projects, 鈥渟ystem strength鈥 and sustainability are the goals. 鈥淏ecause we follow a community-based capacity-building model, we work collaboratively with our Kenyan partners to share and enhance existing resources and expertise,鈥 says Riplinger.

鈥淥ur shared objective is long-term change; ultimately, our Kenyan partners will continue to do this work in our absence. In the end, we hope to work ourselves out of a job.鈥 鈻

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